FORM 1023-EZ for BEHAVIOR AT WORK COLLABORATIVE INC

Field Data
EIN 47-2465809
Case Number EO-2016351-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEHAVIOR AT WORK COLLABORATIVE INC
Organization’s Mailing Address 3663 PARK CENTER BLVD APT 313
City MINNEAPOLIS
State MN
ZIP 55416
Accounting period End 12
Primary contact name ARTHUR STUART HANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARTHUR HANSON
PRESIDENT
3663 PARK CENTER BLVD APT 313
MINNEAPOLIS MN 55416

Officer/Director/Trustee Two

ROBERT LUND
VICE PRESIDENT
4724 WESR 60TH STREET
EDINA MN 55424

Officer/Director/Trustee Three

MARY STULTZ
SECRETARY
5733 GRAND AVENUE SOUTH
MINNEAPOLIS MN 55419

Officer/Director/Trustee Four

DEBORAH ANDERSON
TREASURER
1809 LINCOLN AVENUE SOUTH
ST. PAUL MN 55105

Organization’s website BEHAVIORATWORK.ORG
Organization’s email ASHANSON55@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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